dh220 dental materials - facultypages.ecc.edufacultypages.ecc.edu/lamannac/pdf lectures...
TRANSCRIPT
I. Use – to produce a positive reproduction of
the oral structures
A. Plaster1. 1º purpose is to fabricate study models for tx planning
- diagnostic aid – view mouth from all angles
- serves as a permanent record of the pt’s
occlusion & alignment of their teeth prior to tx
- visual aid during case presentation & pt ed
2. Mounting casts to articulator - reproduces
the “hinge” motion of the jaw
B. Stone
- produces working casts (replica of quad or
arch) & to form dies (replica of a prepared
tooth) to fabricate cast restoratives (inlays,
onlays, crowns, bridges, RPDs, & full
dentures)
cast
die
cast & die
II. Composition & Types
• Class of material – ceramic due to physical properties
• Chemically identical; difference is physical form (shape of powder
particles) of the compound calcium sulfate dihydrate.
• Calcination process:
– Plaster – gypsum in rock form, ground & heated
to remove water
- Powder particles – porous & rough
– beta-hemihydrate.
– Stone - gypsum in rock form, ground & heated
under steam pressure to remove water.
- Powder particles – smooth & dense
– alpha-hemihydrate.
• Modifiers – added to regulate setting time & expansion
– Potassium sulfate – accelerator
– Borax – retarder & reduce setting expansion
• Pigments – buffs & pastels added to distinguish between
plaster (white) & stone (buff & pastels)
Composition….con’t
Types – ADA classification system
• 2 plasters & 3 stones - variance in properties & handling
• Strength increases from Type I V by lowering W/P ratio
• 5 Types –
– TYPE I: Impression plaster – rigid, edentulous pts only
– TYPE II: Model plaster – construct study models (Tx plan)
– TYPE III: Dental stone – casts for denture fabrication (RPD, RFD)plus:
– TYPE IV: Die stone – casts for in/onlays, crowns, bridge fabrication» High strength, hardness & low expansion
– TYPE V: High strength, high expansion stone – newest edition; accommodates the greater shrinkage of newer alloys
III. Strength & Hardness
• Directly related to amount of water added to powder.
• More water = weaker mix
• Plaster = more water = weaker material
• Stone = less water = stronger material
• As material dries, entrapped water evap, leaves voids = porous, weak model/cast
• Inadequate strength results in fracture or distortion
• Reaches maximum strength after 24 hrs
How much water??
IV. Handling & Mixing
• Setting reaction – chemical - results in exothermic
reaction What is that??
A. Water – controls strength, rigidity, & hardness
1. Formation of gypsum “crystals” – cluster formation;
center of each cluster: nuclei of crystallization –
intermeshing of crystals gives final strength & rigidity
2. Water to Powder (W/P) ratio
- too much water added – increase in setting time, fewer crystals – reduced strength
- not enough water – reduces setting time, less working time, crumbly mixture of reduced strength
3. Water temperature (68º - 72º F)- ↑ temp accelerates set
- ↓ temp prolongs set
Crystals unable to
accurately intermesh.
B. Armamentarium
1. Powder (gypsum) & water; measuring vial
* plaster = ___ ml / 100 g (W/P)
* dental stone = ___ ml / 100 g (W/P)
* die stone = ___ ml / 100 g (W/P)
2. rubber bowl
3. spatula – wide & narrow blade
4. scale – measure powder
5. mechanical vibrator –
removes air bubbles
• Prepare the impression
1. Disinfection of impression
•________ •__________ •_______________
2. Inspect impression for standing moisture
- surface should be dry of moisture
- gently air dry with A/W syringe
- pooled water will result in voids in cast/model
Manipulation of Gypsum Products
Agents used: ____________, _______________, _______________
Manipulation of Gypsum Products
Measure powder
& water
Add powder to water(over 20 to 30 seconds)
Spatulation
(1 minute at 2 revolutions
per second)
Vibrate (approx 30 sec)
Pour impression(sets in 45 – 60 minutes)
Working time = ~5 min
- mixing & pouring
Setting time:
Initial set = 7 – 10 min
– “loss of gloss” or flow
Final set = 45 – 60 min
– after exothermic reaction (feels warm)
-- wet strength (feels wet & cool to touch)
24 hours = dry strength
Disinfect cast(if nec.)
VI. Separation of cast/model from impression
– chpt 28• Timing –
– Working time mixing & pouring = 5 mins
– Initial set = 7 - 10 min
– Final set - Wet strength = 45 min – 1 hr – after exothermic
reaction – feels cool to touch
– Dry strength = 24 hours** WHY remove the impression immediately after exo reaction???
- Syneresis – dehydrated imp mat’l will shrink & harden making
it very difficult to separate from model/cast.
VIII. Model Trimming – creating symmetrical formAlginate in interproximal undercuts
Blebs or nibs of gypsum on occ surface
Model trimmer
Test #3 Review
Impression Materials & Gypsum
Chapters 8 & 9* Give EDPuzzle a try *
1. Use
2. Desirable qualities & special characteristics
3. Definitions & terminology
4. Flow charts, Common Difficulties handout,
Impression grid
5. Factors effecting the final end-product